Individual provider Active NPI

Steven Edward Wildasin, CRNA

  • Certified Registered Nurse Anesthetist
  • Jacksonville, FL
National Provider Identifier
1285614560
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9223320 Issued in FL
Practice address
Naval Hospital Jacksonville
2080 Child Street
Jacksonville, FL 32214-0001
Phone
(904) 542-7631
Fax
(904) 542-7623
NPI assigned
Jan 20, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9223320 FL Primary

Addresses

Primary practice location

Naval Hospital Jacksonville
2080 Child Street
Jacksonville, FL 32214-0001

Mailing address

286 Ridgeline CT
Orange Park, FL 32065-5715
Phone (904) 272-3785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060316000330 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406863422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 276-8500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9223320FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine State Anesthesia Partners LLC CurrentSince Jun 1, 2021 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Oct 22, 2018 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 22, 2018 Accepting new patients
Anesthesia Associates of Clay County Past Accepting new patients

Locations

1465 Kingsley Ave
Ste 1201
Orange Park, FL 32073
Phone (904) 215-7015

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285614560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 RIDGELINE CT",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655715",
            "telephone_number": "904-272-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL JACKSONVILLE",
            "address_2": "2080 CHILD STREET",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322140001",
            "telephone_number": "904-542-7631",
            "fax_number": "904-542-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDASIN",
        "first_name": "STEVEN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9223320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.